Average Medicaid Office Visit Payments in Sheffield, AL: $53.81
Avg. Paid
$53.81
Range
$0.00 – $214.08
Total Claims
142,244
Providers
64
Typical Payment Range
Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.
Based on per-provider averages across all Medicaid claims in this category.
A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Office Visit in Sheffield, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ce'Cile Dorothy Dumerve
1120 S Jackson Hwy |
$61.90 | 25,378 | 22,583 |
|
Deborah A. Zwick
1120 S Jackson Hwy |
$53.87 | 16,365 | 10,954 |
|
Brad M Ginevan
342 Cox Blvd |
$49.59 | 12,915 | 9,089 |
|
George A Evans
342 Cox Blvd |
$40.22 | 10,426 | 8,071 |
|
Colbert County Health Dept Fp Clinic
1000 S Jackson Hwy |
$214.08 | 8,432 | 7,685 |
|
Misty Maxwell
342 Cox Blvd |
$46.49 | 4,892 | 4,013 |
|
Baylee Smith Corsbie
342 Cox Blvd |
$46.51 | 4,159 | 3,565 |
|
Mark Locke Hodges
342 Cox Blvd |
$29.46 | 4,094 | 2,830 |
|
Zaman Shah
342 Cox Blvd |
$49.10 | 3,807 | 2,582 |
|
Kristine Elizabeth Mollohan
342 Cox Blvd |
$29.13 | 3,801 | 3,059 |
|
Aaron W Karr
342 Cox Blvd |
$46.86 | 3,445 | 2,699 |
|
Medical Associates Of The Shoals, P.C.
1120 S Jackson Hwy Ste 300 |
$10.83 | 3,364 | 2,835 |
|
Angela Gann
340 Cox Blvd |
$18.82 | 3,210 | 2,783 |
|
Amanda Magee
340 Cox Blvd |
$30.54 | 2,919 | 2,186 |
|
Pamela Nancy Barber
1300 S Montgomery Ave |
$0.00 | 2,780 | 2,087 |
|
Francis Allen Long
421 Cox Blvd |
$76.67 | 2,772 | 2,242 |
|
Alyssa Garner
342 Cox Blvd |
$41.29 | 2,598 | 2,132 |
|
Matthew Alexander Montgomery
342 Cox Blvd |
$34.15 | 2,586 | 2,263 |
|
Hannah Willis Hale
342 Cox Blvd |
$37.04 | 2,080 | 1,624 |
|
Candace Paige Hollis
1120 S Jackson Hwy Ste 300 |
$33.78 | 1,672 | 1,205 |
|
Jerry Brent Williams
1120 S Jackson Hwy |
$13.41 | 1,618 | 1,438 |
|
Anna Morgan Stout
1100 S Jackson Hwy Ste 250 |
$46.66 | 1,601 | 1,415 |
|
Phillip Jordan Dean
1100 S Jackson Hwy |
$17.10 | 1,553 | 1,236 |
|
Ryann Elaine Henley
1100 S Jackson Hwy Ste 259 |
$20.33 | 1,146 | 759 |
|
Darin Kim Bowling
342 Cox Blvd |
$29.30 | 1,064 | 651 |
|
Kelli Roberson
342 Cox Blvd |
$39.62 | 1,057 | 874 |
|
Monica Page Irons
342 Cox Blvd |
$30.46 | 1,057 | 812 |
|
Charles Jeremy Thompson
1120 S Jackson Hwy |
$1.66 | 994 | 690 |
|
Jodilyn Jelsema
500 N Montgomery Ave |
$50.31 | 854 | 622 |
|
Pamela D Mcgarrah
1100 S Jackson Hwy Ste 250 |
$52.87 | 732 | 598 |
|
Cameron Don Bonds
1120 S Jackson Hwy Ste 300 |
$47.40 | 714 | 635 |
|
Filomeno C. Gapultos
1100 S Jackson Hwy Ste 200 |
$4.27 | 628 | 515 |
|
Amy Lea Barnett
342 Cox Blvd |
$31.47 | 576 | 412 |
|
Lori L Pace
1100 S Jackson Hwy |
$29.70 | 575 | 494 |
|
Lisa M Christian
1100 South Montgomery Ave |
$11.94 | 558 | 474 |
|
Randall Eugene Little
1120 S Jackson Hwy |
$12.07 | 521 | 482 |
|
Alan L Billsby
342 Cox Blvd |
$44.78 | 484 | 355 |
|
Amanda L Murner
1120 S Jackson Hwy |
$51.48 | 441 | 400 |
|
Albert Lynn Ridgeway
342 Cox Blvd |
$14.82 | 389 | 213 |
|
Caitlin Hunter
1100 S Jackson Hwy Ste 250 |
$53.35 | 385 | 335 |
|
Kevin Michael Walls
1015 S Jackson Hwy |
$15.59 | 375 | 237 |
|
Sara Elizabeth Mclendon Jumper
1120 S Jackson Hwy Ste 300 |
$49.64 | 350 | 342 |
|
Connie Sherril White
342 Cox Blvd |
$48.89 | 347 | 277 |
|
Sidney Katherine Berryman
340 Cox Blvd |
$37.63 | 320 | 246 |
|
Shoals Primary Care, Llc
342 Cox Blvd |
$43.15 | 300 | 269 |
|
Heidi Leeanne Slappey
1120 S Jackson Hwy |
$21.11 | 239 | 225 |
|
Abbey Oliver
342 Cox Blvd |
$48.97 | 229 | 203 |
|
Jonathan Scogin
342 Cox Blvd |
$20.06 | 219 | 180 |
|
Madison Taylor Chastain
1120 S Jackson Hwy Ste 205 |
$48.31 | 210 | 165 |
|
Steven B Snyder
1120 Jackson Highway |
$3.74 | 179 | 164 |
What to Expect: Office Visit
A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99213 | Office visit established mod | $43.18 | 764,306,590 | 487,602 |
| 99214 | Office visit established mod-hi | $59.53 | 502,480,931 | 466,856 |
| 99212 | Office visit established low | $41.69 | 92,299,154 | 127,462 |
| 99203 | Office visit new moderate | $67.55 | 47,756,882 | 127,334 |
| 99211 | Office visit established minor | $39.24 | 44,127,221 | 47,748 |
| 99204 | Office visit new moderate-high | $92.03 | 32,379,031 | 111,937 |
| 99215 | Office visit established high | $93.58 | 29,619,773 | 74,725 |
| 99202 | Office visit new low | $58.57 | 9,372,712 | 35,486 |
| 99205 | Office visit new high | $136.10 | 3,665,382 | 19,737 |
| 99244 | Office consultation mod-high | $118.25 | 3,405,681 | 11,884 |
| 99243 | Office consultation moderate | $78.55 | 2,585,480 | 8,432 |
| 99245 | Office consultation high | $132.29 | 645,300 | 3,046 |
| 99242 | Office consultation low | $58.27 | 483,445 | 1,980 |
| 99241 | Office consultation brief | $66.15 | 295,664 | 712 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Office Visit cost in Sheffield, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sheffield, AL is $53.81 per claim, based on 142,244 claims from 64 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Office Visit in Sheffield, AL?
There are 64 Medicaid providers offering Office Visit related services in Sheffield, AL according to public payment data.
What is the price range for Office Visit in Sheffield, AL?
Medicaid reimbursement for Office Visit in Sheffield, AL ranges from $0.00 to $214.08 per claim, with an average of $53.81. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Sheffield, AL
Ambulance Transport
Avg $45.18
51,933 claims
X-Ray
Avg $5.81
47,635 claims
Emergency Room Visit
Avg $66.14
41,056 claims
Blood Work & Lab Tests
Avg $12.76
34,600 claims
Substance Abuse Treatment
Avg $60.82
30,914 claims
Vaccines & Immunizations
Avg $13.64
24,464 claims
Urinalysis & Urine Tests
Avg $2.09
23,001 claims
Case Management Services
Avg $59.30
16,266 claims